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Individual

STEWART I ADAM JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1222 S PATTERSON BLVD, SUITE 400, DAYTON, OH 45402-2684
(937) 496-2600
(937) 496-2610
Mailing address
1222 S PATTERSON BLVD, SUITE 400, DAYTON, OH 45402-2684
(937) 496-2600
(937) 496-2610

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
35051666
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000004436
ANTHEM
01
0453520
AETNA
05
0581777
OH
01
1020041
UNITEDHEALTHCARE
01
D51666
HUMANA
Enumeration date
01/27/2006
Last updated
01/15/2013
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